Director - Care Management


Responsible for the oversight and direction of all clinical, business, safety, quality and regulatory dimensions relevant to the inpatient and outpatient Care Management, Social Work, Community Case Management and Utilization Management functions.

Partner with CH Population Health program to develop sustainable patient connections with community resources to promote healing and overall health.

Current RN or LCSW license. Master's degree preferred.

Accredited Case Management (ACM) or Case Management Certification (CMS/CCM) to be obtained within 6 months of hire.

Strong analytical abilities. Intermediate proficiency in Word, Excel, and PowerPoint.

Quality Management skills including team facilitation, data analysis, and report generation.

Extensive knowledge of case management and social work concepts and practice standards, government regulations, payer reimbursement, Interqual, utilization requirements, crisis intervention, relevant community services, and population health. Knowledge of Accountable Care Organizations and Bundled Payment Systems. Familiarity with MIDAS (or related quality database) and Epic preferred.

Three years of progressive experience in leadership and case management required. Strong clinical background, experience in care coordination, discharge planning and overall case management experience required,